Highfield Nursing and Rehabilitation

6590 Tryon Road, Cary, NC 27518 · CCN 345403 · 120 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-02-28 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-11-22 IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-11-22 IMMEDIATE JEOPARDY (tag F0580, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-11-22 IMMEDIATE JEOPARDY (tag F0692, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.

Staffing, from payroll records

Nursing hours / resident / day

2.96

state median 3.11

Weekend staffing gap

−12%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.23

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

53%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $175,559 in fines.

DateTypeAmount
2025-02-28Fine$17,345
2024-11-22Fine$158,214

Ownership

Ownership type: For profit - Corporation. Part of the AVARDIS HEALTH chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 15 · Immediate jeopardy: 4

Survey dateTagCategorySeverityCorrected
2026-03-26F0584Resident Rights DeficienciesEnot recorded
2026-03-26F0880Infection Control DeficienciesDnot recorded
2025-02-28F0584Resident Rights DeficienciesDnot recorded
2025-02-28F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-02-28F0806Nutrition and Dietary DeficienciesDnot recorded
2025-02-28F0807Nutrition and Dietary DeficienciesDnot recorded
2024-11-22F0580Resident Rights DeficienciesJnot recorded
2024-11-22F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-22F0684Quality of Life and Care DeficienciesJnot recorded
2024-11-22F0692Quality of Life and Care DeficienciesJnot recorded
2024-11-22F0919Environmental DeficienciesDnot recorded
2024-10-24F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-06-27F0550Resident Rights DeficienciesEnot recorded
2024-06-27F0583Resident Rights DeficienciesDnot recorded
2024-06-27F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-06-27F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2024-06-27F0657Resident Assessment and Care Planning DeficienciesBnot recorded
2024-06-27F0677Quality of Life and Care DeficienciesEnot recorded
2024-06-27F0835Administration DeficienciesEnot recorded
2023-11-08F0578Resident Rights DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Highfield Nursing and Rehabilitation, Cary” at medicare.gov/care-compare.